What causes high foot pressures in diabetes: how can they be relieved?
1992; Elsevier BV; Volume: 2; Issue: 4 Linguagem: Inglês
10.1016/0958-2592(92)90050-y
ISSN1532-2963
Autores Tópico(s)Skin Diseases and Diabetes
ResumoThis review presents the findings of several studies undertaken to elucidate the relationship of high pressure in the diabetic foot to the development of foot ulceration. It is concluded that high plantar pressure is a multifactorial condition relating mostly to limitation of joint mobility in the foot, and to neurological dysfunction. High pressure alone does not give rise to ulcers, but the insensitive foot is liable to damage from abnormal stresses of which high plantar pressure is an obvious example. Patient education and mechanical solutions for preventing tissue damage are the easiest intervention available at the present time as neurological damage resulting from diabetes is not reversible. Casting techniques are of proven efficacy in healing ulcers. Good foot care, the provision of suitable footwear, appropriate insoles and hosiery are essential to prevent recurrence.
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